| NPI | 1073240339 |
|---|---|
| Former Legal Business Name | 5 STAR LLC |
| Entity Type | Organization |
| Authorized Contact | HRACHUHI CHRISTINE PETIKYAN CEO 747-877-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-12-29 |